Airway management in Nager Syndrome.
Nager acrofacial dysostosis is a rare congenital syndrome characterized by malformed mandibulofacial structures and pre-axial upper limbs. Trismus and glossoptosis from mandibular abnormalities predisposes infants to life-threatening respiratory distress. A case of a Nager Syndrome mother delivering a similarly afflicted fetus is presented, with approaches to maintaining both tenuous airways described. Distinguishing this condition from similar syndromes is critical for care and prognosis.
Ho
Allen S
AS
Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94305, United States.
Aleshi
Pedram
P
Cohen
Sheila E
SE
Koltai
Peter J
PJ
Cheng
Alan G
AG
D000328:Adult; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008342:Mandibulofacial Dysostosis / Q000150:complications*; D012127:Respiratory Distress Syndrome, Newborn / Q000209:etiology* / Q000628:therapy*; D013577:Syndrome; D014140:Tracheotomy